Dghaies A, Mokline A, Messadi A A
Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunisie.
Service de Réanimation des Brûlés, Centre de Traumatologie et des Grands Brûlés, Tunis, Tunisie.
Ann Burns Fire Disasters. 2020 Dec 31;33(4):288-292.
Patients with epilepsy are a high-risk population for severe burns. A retrospective study was conducted to assess burns during epileptic seizure in epileptic patients. The study was conducted in a 20- bed burn ICU in Tunis over the period 01/01/2011 to 30/06/2019. Fifty cases combining burns and epilepsy were reviewed. Twenty patients (11 women and 9 men, sex-ratio 0.6) suffering a burn following an epileptic seizure were included. The average age was 46. Epileptic disease was uncontrolled in 75% of our patients and 35% were not receiving any antiepileptic treatment. Burns were related to domestic accident in 95% of cases, 2/3 of which were related to a fall on a brazier. Lesions were deep in 70% of cases, requiring excision of necrotic tissue. Only two patients benefited from a dermal-epidermal graft. Amputation was necessary in 5 patients. Mortality was 25%, related to refractory septic shock.
癫痫患者是严重烧伤的高危人群。开展了一项回顾性研究，以评估癫痫患者癫痫发作期间的烧伤情况。该研究于2011年1月1日至2019年6月30日在突尼斯一家设有20张床位的烧伤重症监护病房进行。对50例烧伤合并癫痫的病例进行了回顾。纳入了20例癫痫发作后烧伤的患者（11名女性和9名男性，性别比为0.6）。平均年龄为46岁。75%的患者癫痫病情未得到控制，35%的患者未接受任何抗癫痫治疗。95%的病例烧伤与家庭事故有关，其中2/3与跌落在火盆上有关。70%的病例损伤较深，需要切除坏死组织。只有两名患者接受了真皮-表皮移植。5名患者需要截肢。死亡率为25%，与难治性感染性休克有关。
